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REVIEW ARTICLE
Year : 2017  |  Volume : 145  |  Issue : 5  |  Page : 593-600

Diagnosis of polymyalgia rheumatica usually means a favourable outcome for your patient


Department of Rheumatology, Internal Medicine & Geriatrics, Pomeranian Medical University, Szczecin, Poland

Correspondence Address:
Marcin Milchert
Department of Rheumatology, Internal Medicine and Geriatrics, Pomeranian Medical University, Szczecin, ul Unii Lubelskiej 1, 71-252 Szczecin
Poland
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_298_17

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Polymyalgia rheumatica (PMR) is a unique disease of elderly people, traditionally diagnosed based on a clinical picture. A typical case is a combination of severe musculoskeletal symptoms and systemic inflammatory response with spectacular response to corticosteroids treatment. The severity of symptoms may be surprising in older patients where immunosenescence is normally expected. However, PMR may be diagnosed in haste if there is a temptation to use this diagnosis as a shortcut to achieve rapid therapeutic success. Overdiagnosis of PMR may cause more problems compared to underdiagnosis. The 2012 PMR criteria proposed by European League against Rheumatism/American College of Rheumatology aim to minimize the role of clinical intuition and build on more objective features. However, questions arise if this is possible in PMR. This has been discussed in this review.


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